Individual provider Active NPI

Michael Jason Jarry, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1134510050
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009462 Issued in GA
Practice address
2896 Chamblee Tucker Rd
Suite 4
Atlanta, GA 30341-4009
Phone
(770) 457-0584
Fax
(770) 457-0773
NPI assigned
Feb 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009462 GA Primary

Addresses

Primary practice location

2896 Chamblee Tucker Rd
Suite 4
Atlanta, GA 30341-4009

Mailing address

2896 Chamblee Tucker Rd
Suite 4
Atlanta, GA 30341-4009
Phone (770) 457-0584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1134510050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 CHAMBLEE TUCKER RD",
            "address_2": "SUITE 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414009",
            "telephone_number": "770-457-0584",
            "fax_number": "770-457-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2896 CHAMBLEE TUCKER RD",
            "address_2": "SUITE 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414009",
            "telephone_number": "770-457-0584",
            "fax_number": "770-457-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRY",
        "first_name": "MICHAEL",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.